Valvular & structural heart disease
European Association of Cardiovascular Imaging survey on the evaluation of mitral regurgitation
An erratum to this article was published (Eur Heart J Cardiovasc Imaging, 31 Jul 2024 ↗)
Authors' conclusion
Consistent with current guidelines, echocardiography (transthoracic echocardiography and TOE) remains the first-line and central imaging modality for the assessment of MR although the complementary use of 3D TOE, CCT, and CMR appears to be growing. Heart valve clinics and heart valve teams are now widely prevalent.
Study context
- Population
- European centres (mainly tertiary centres or university hospitals) evaluating patients with mitral regurgitation (MR)responders, 26 countries
- Participants
- 61 participants
- Outcome
- Imaging and management of MR in routine practice
Methodological detailsmulticentre, 26 countries, Performed by the European Association of Cardiovascular Imaging Scientific Initiatives Committee
- Multicentre
- 26 countries
- Performed by the European Association of Cardiovascular Imaging Scientific Initiatives Committee
Main finding
As reported in the abstract
- Answers on echocardiography and advanced imaging relatively homogeneous, good adherence to current recommendations
- Multi-parametric echocardiographic approach; effective regurgitant orifice and vena contracta width preferred assessments
- 2D measurements still most widely used for LV structure; majority use 3D trans-oesophageal echocardiography (TOE) for valve morphology in severe MR
- Majority report onsite availability and clinical use of ergometric stress echocardiography, cardiac computed tomography (CCT) and cardiac magnetic resonance (CMR)
- Heart valve clinics and heart valve teams widely prevalent
- 22-question survey
Observational data: associations, not effects.
Original publication
European Association of Cardiovascular Imaging survey on the evaluation of mitral regurgitation. Eur Heart J Cardiovasc Imaging. Published 22 February 2024. doi:10.
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